| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
818 |
738 |
$131K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
359 |
332 |
$61K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
510 |
484 |
$46K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
127 |
106 |
$39K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
84 |
79 |
$35K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
73 |
66 |
$28K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
526 |
162 |
$15K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
804 |
720 |
$7K |
| 0002A |
|
72 |
62 |
$5K |
| 0001A |
|
88 |
80 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
220 |
61 |
$3K |
| 80053 |
Comprehensive metabolic panel |
681 |
637 |
$3K |
| 73130 |
|
12 |
12 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
232 |
214 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$937.36 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,163 |
999 |
$404.52 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,034 |
830 |
$404.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,389 |
2,167 |
$396.43 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
650 |
384 |
$388.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$349.86 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
125 |
101 |
$103.16 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
319 |
268 |
$27.94 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
646 |
581 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
286 |
251 |
$0.00 |
| 99152 |
|
40 |
38 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
653 |
559 |
$0.00 |
| 0753T |
|
272 |
164 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
918 |
733 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
90 |
79 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
70 |
60 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
444 |
389 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
139 |
129 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
29 |
28 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
12 |
12 |
$0.00 |